Yintoni i-angina engazinzanga kunye nokuba lwenziwa njani unyango

Umxholo

• Zithini iimpawu?
• Izizathu ezinokubangela
• Yintoni isifo
• Unyango lwenziwa njani
• Nguwuphi umahluko phakathi kwe-angina ezinzileyo nengazinzanga?

I-angina engazinzanga ibonakaliswa kukungonwabi esifubeni, okuhlala kwenzeka ekuphumleni, kwaye kunokuqhubeka ngaphezulu kwemizuzu eli-10. Inamandla kwaye inokuqala kwangoko, komntu ophakathi, kwaye inokuba nenkqubela phambili, oko kukuthi, iya isiba ngakumbi kwaye iyaqhubeka ngakumbi kwaye / okanye iphindaphindwe ngakumbi kunangaphambili.

Intlungu yesifuba inokuphuma iye entanyeni, engalweni okanye ngasemva kunye neempawu ezinje ngokuba isicaphucaphu, isiyezi okanye ukubila okugqithisileyo kunokubonakalisa, kwaye kwezi meko kubalulekile ukufuna kwangoko ukungxamiseka konyango olululo, oluhlala luphumla kunye nolawulo. zeitrate, ii-beta-blocker kunye ne-anti-aggregates, ezinje nge-AAS okanye iClopidogrel, umzekelo.

Rhoqo, i-angina engazinzanga yandulela i-infyoction ye-myocardial, isiqendu se-arrhythmias okanye, ngokufuthi, ukufa ngesiquphe. Funda ukuqaphela iimpawu ze-myocardial infarction.

Zithini iimpawu?

Iimpawu kunye neempawu ezinokuthi zenzeke emntwini one-angina engazinzanga ziintlungu okanye ukungonwabi esifubeni, ezinokuvakala emagxeni, entanyeni, ngasemva okanye ezingalweni kwaye zihlala zivela ngokuzimela ekuphumleni, kwaye zinokuhamba nesicaphucaphu, isiyezi, ukudinwa nokubila okugqithisileyo.

Izizathu ezinokubangela

I-angina engazinzanga ihlala ibangelwa kukuqokelelwa kwamacwecwe amanqatha ngaphakathi kwimithambo yentliziyo okanye kukuqhekeka kwala macwecwe, anokukhokelela kubunzima bokuhamba kwegazi kwezi zitya. Njengoko igazi linoxanduva lokuzisa ioksijini ekusebenzeni kwentliziyo yemisipha, ukunciphisa ukuhamba kwegazi, kunciphisa ioksijini kwilungu, oko ke kubangele iintlungu esifubeni. Jonga ukuba zeziphi izizathu eziphambili ze-atherosclerosis.

Abantu abasemngciphekweni omkhulu wokufumana i-angina engazinzanga ngabo banesifo seswekile, ukutyeba kakhulu, imbali yosapho yesifo sentliziyo, uxinzelelo lwegazi oluphezulu, icholesterol ephezulu, ukusebenzisa icuba, ukuba yindoda kunye nokuhlala phantsi.

Yintoni isifo

Ngokubanzi, ugqirha wenza uvavanyo lomzimba, olubandakanya ukulinganiswa koxinzelelo lwegazi kunye nentliziyo kunye ne-pulmonary auscultation. Ukongeza, iimvavanyo ezinje ngovavanyo lwegazi, kunye nokuqokelelwa kwee-enzyme zentliziyo, i-electrocardiogram, i-echocardiografi, i-coronary angiography kunye / okanye i-angiografi yikhompyuter ye-tomography, umzekelo, nayo inokwenziwa.

Unyango lwenziwa njani

Izigulana ezine-angina ezingazinzanga kufuneka zibhedlele kwaye zibekwe iliso zisebenzisa i-electrocardiogram eqhubekayo ukuze kukhangelwe utshintsho kwicandelo le-ST kunye / okanye i-arrhythmias yentliziyo. Ukongeza, kunyango lokuqala, ii-nitrate, i-beta-blockers okanye i-calcium block blocker kufuneka zenziwe ukunciphisa i-angina kunye nokuthintela ukuphindeka kwentlungu yesifuba, ukongeza ekusebenziseni ii-anti-aggregants okanye ii-antiplatelet agents ezinje nge-AAS, clopidogrel, prasugrel okanye i-ticagrelor, ukuzinzisa amacwecwe amanqatha.

I-Anticoagulants zihlala zihlala zilawulwa ukunciphisa ukwakheka kwehlwili, njenge-heparin, eya kwenza igazi libe lulwelo ngakumbi. Iziyobisi ezichasene noxinzelelo lwegazi, ezinje nge-captopril, umzekelo, zinokusetyenziselwa ukunciphisa uxinzelelo lwegazi kunye nemimiselo, enjenge-atorvastatin, i-simvastatin okanye i-rosuvastatin, ukuzinzisa iipleyiti.

Ukuba i-angina engazinzanga iqinisekiswa ziimviwo, ezinje nge-myocardial scintigraphy okanye i-transthoracic echocardiography okanye i-resonance yentliziyo, isigulana kufuneka sinyanzelise i-catheterization yentliziyo ngexesha leeyure ezingama-24 ezizayo.

Nguwuphi umahluko phakathi kwe-angina ezinzileyo nengazinzanga?

I-angina ezinzileyo ibonakaliswa sisifuba okanye ukungaphatheki kakuhle kwengalo, okunganyanzelekanga ukuba kube buhlungu, kwaye kuhlala kunxulunyaniswa nomzamo womzimba okanye uxinzelelo, kwaye kuyakhululwa emva kwemizuzu emi-5 ukuya kweli-10 yokuphumla okanye nge-nitroglycerin engaphantsi. Funda ngakumbi malunga ne-angina ezinzileyo.

I-angina engazinzanga ikwabonakaliswa kukungonwabi kwesifuba, kodwa ngokungafaniyo ne-angina ezinzileyo, ihlala isenzeka xa uphumle, kwaye inokuqhubeka ngaphezulu kwemizuzu eli-10, ibe namandla kwaye ibe nokuqala kwangoko, okanye inkqubela phambili, okt ixesha elide okanye rhoqo kun ngaphambili.